Evaluation for Madigan's prostatectomy in patients with benign prostatic hyperplasia

To comparatively evaluate the efficacy and post-operative complications of the Madigan's prostatectomy (MPC) and suprapubic prostatectomy (SPPC). Meth ods: A total of 43 patients with benign prostatic hyperplasia were divided into two groups: 21 underwent MPC and 22, SPPC. In all the patients, the in ternational prostate symptom score (IPSS) and urinary pressure-flow studies were assessed before and 6 months after operation. The International Conti nence Society (ICS) nomogram, Abrams-Griffiths (AG) number and linear passi ve urethral resistance relation analysis (L-PURR) were used to diagnose and grade bladder outlet obstruction (BOO). The IPSS and the urodynamic parame ters before and after operation, as well as the advantages and post-operati ve complications were recorded and compared. Results: Patients of both the MPC and SPPC groups had a significant improvement in IPSS and urodynamic pa rameters. Obstruction was relieved in 81.0% of MPC and 86.4% of SPPC patien ts. MPC has the advantages of the absence of postoperative hematuria and po st-catheter stricture, a shorter period of hospitalization, and lower incid ence of retrograde ejaculation and erectile dysfunction. Conclusion: Both M PC and SPPC can effectively relieve BOG. MPC has certain advantages and a l ower incidence of complications as compared with SPPC.